Post-yield and failure properties of cortical bone

Ageing and associated skeletal diseases pose a significant challenge for health care systems worldwide. Age-related fractures have a serious impact on personal, social and economic wellbeing. A significant proportion of physiological loading is carried by the cortical shell. Its role in the fracture resistance and strength of whole bones in the ageing skeleton is of utmost importance. Even though a large body of knowledge has been accumulated on this topic on the macroscale, the underlying micromechanical material behaviour and the scale transition of bone's mechanical properties are yet to be uncovered. Therefore, this review aims at providing an overview of the state-of-the-art of the post-yield and failure properties of cortical bone at the extracellular matrix and the tissue level.

Computational and experimental methodology for site-matched investigations of the influence of mineral mass fraction and collagen orientation on the axial indentation modulus of lamellar bone

Relationships between mineralization, collagen orientation and indentation modulus were investigated in bone structural units from the mid-shaft of human femora using a site-matched design. Mineral mass fraction, collagen fibril angle and indentation moduli were measured in registered anatomical sites using backscattered electron imaging, polarized light microscopy and nano-indentation, respectively. Theoretical indentation moduli were calculated with a homogenization model from the quantified mineral densities and mean collagen fibril orientations. The average indentation moduli predicted based on local mineralization and collagen fibers arrangement were not significantly different from the average measured experimentally with nanoindentation (p=0.9). Surprisingly, no substantial correlation of the measured indentation moduli with tissue mineralization and/or collagen fiber arrangement was found. Nano-porosity, micro-damage, collagen cross-links, non-collagenous proteins or other parameters affect the indentation measurements. Additional testing/simulation methods need to be considered to properly understand the variability of indentation moduli, beyond the mineralization and collagen arrangement in bone structural units.

•

Site-matched assessment of nanoindentation modulus, mineral mass fraction and collagen fibers orientation in human cortical bone sections.

•

Comparison of experimental nanoindentation modulus with its computed equivalent based on the site-matched morphological data.

•

While mean experimental and computed nanoindentation moduli match well, their variations exhibit very weak correlations.

•

Considering factors like nano-porosity and damage may be necessary to understand variability of lamellar stiffness of bone structural units.

•

This is not in conflict with the well known anisotropy associated with the rotated plywood model at the sublamellar scale.

Transplantation of human fetal blood stem cells in the osteogenesis imperfecta mouse leads to improvement in multiscale tissue properties

Osteogenesis imperfecta (OI or brittle bone disease) is a disorder of connective tissues caused by mutations in the collagen genes. We previously showed that intrauterine transplantation of human blood fetal stem/stromal cells in OI mice (oim) resulted in a significant reduction of bone fracture. This work examines the cellular mechanisms and mechanical bone modifications underlying these therapeutic effects, particularly examining the direct effects of donor collagen expression on bone material properties. In this study, we found an 84% reduction in femoral fractures in transplanted oim mice. Fetal blood stem/stromal cells engrafted in bones, differentiated into mature osteoblasts, expressed osteocalcin, and produced COL1a2 protein, which is absent in oim mice. The presence of normal collagen decreased hydroxyproline content in bones, altered the apatite crystal structure, increased the bone matrix stiffness, and reduced bone brittleness. In conclusion, expression of normal collagen from mature osteoblast of donor origin significantly decreased bone brittleness by improving the mechanical integrity of the bone at the molecular, tissue, and whole bone levels.

Elastic Anisotropy of Human Cortical Bone Secondary Osteons Measured by Nanoindentation

The identification of anisotropic elastic properties of lamellar bone based on nanoindentation data is an open problem. Therefore, the purpose of this study was to develop a method to estimate the orthotropic elastic constants of human cortical bone secondary osteons using nanoindentation in two orthogonal directions. Since the indentation modulus depends on all elastic constants and, for anisotropic materials, also on the indentation direction, a theoretical model quantifying the indentation modulus from the stiffness tensor of a given material was implemented numerically (Swadener and Pharr, 2001, “Indentation of Elastically Anisotropic Half-Spaces by Cones and Parabolae of Revolution,” Philos. Mag. A, 81(2), pp. 447–466). Nanoindentation was performed on 22 osteons of the distal femoral shaft: A new holding system was designed in order to indent the same osteon in two orthogonal directions. To interpret the experimental results and identify orthotropic elastic constants, an inverse procedure was developed by using a fabric-based elastic model for lamellar bone. The experimental indentation moduli were found to vary with the indentation direction and showed a marked anisotropy. The estimated elastic constants showed different degrees of anisotropy among secondary osteons of the same bone and these degrees of anisotropy were also found to be different than the one of cortical bone at the macroscopic level. Using the log-Euclidean norm, the relative distance between the compliance tensors of the estimated mean osteon and of cortical bone at the macroscopic level was 9.69%: Secondary osteons appeared stiffer in their axial and circumferential material directions, and with a greater bulk modulus than cortical bone, which is attributed to the absence of vascular porosity in osteonal properties. The proposed method is suitable for identification of elastic constants from nanoindentation experiments and could be adapted to other (bio)materials, for which it is possible to describe elastic properties using a fabric-based model.

Intratrabecular distribution of tissue stiffness and mineralization in developing trabecular bone

The purpose of this study was to investigate the relation between bone tissue stiffness and degree of mineralization distribution and to examine possible changes during prenatal development. Understanding this may provide insight into adaptation processes and into deformation mechanisms of the bone microstructure. Mandibular condyles from four fetal and newborn pigs were used. Tissue stiffness was measured using nanoindentation, the degree of mineralization with microCT. Eight indents were made over the trabecular width of 15 trabeculae in each specimen, leading to a total of 960 indents. Subsequently, the degree of mineralization of these locations was determined. Intratrabecular variations in bone tissue stiffness and degree of mineralization showed a similar pattern; low at trabecular surfaces and higher in the cores. A strong correlation was found between the two variables, which remained unchanged during development. It was concluded that bone tissue in fetal and newborn trabecular cores resembles adult trabecular bone tissue properties and is distributed in a regular radial pattern in trabeculae. For the first time, it was shown that the intratrabecular tissue stiffness develops along the same path as the degree of mineralization. Knowledge regarding intratrabecular tissue stiffness and mineralization results in a better understanding of trabecular bone mechanical behavior on a structural and tissue level.

Strontium ranelate: a novel mode of action leading to renewed bone quality

Various bone resorption inhibitors and bone stimulators have been shown to decrease the risk of osteoporotic fractures. However, there is still a need for agents promoting bone formation by inducing positive uncoupling between bone formation and bone resorption. In vitro studies have suggested that strontium ranelate enhances osteoblast cell replication and activity. Simultaneously, strontium ranelate dose-dependently inhibits osteoclast activity. In vivo studies indicate that strontium ranelate stimulates bone formation and inhibits bone resorption and prevents bone loss and/or promotes bone gain. This positive uncoupling between bone formation and bone resorption results in bone gain and improvement in bone geometry and microarchitecture, without affecting the intrinsic bone tissue quality. Thus, all the determinants of bone strength are positively influenced. In conclusion, strontium ranelate, a new treatment of postmenopausal osteoporosis, acts through an innovative mode of action, both stimulating bone formation and inhibiting bone resorption, resulting in the rebalancing of bone turnover in favor of bone formation. Strontium ranelate increases bone mass while preserving the bone mineralization process, resulting in improvement in bone strength and bone quality.

Intrinsic bone tissue properties in adult rat vertebrae: modulation by dietary protein

Bone strength depends on bone mass, geometry, microarchitecture, and intrinsic tissue quality. Whether intrinsic bone tissue properties could be influenced by changes in dietary protein is not known. To address this issue, nanoindentation tests were performed on the lateral, anterior, and posterior site of L5 vertebral bodies in adult female rats fed a normal protein containing diet and in ovariectomized (OVX) rats receiving an isocaloric low protein diet with or without isocaloric essential amino acids supplements. The tissue properties varied significantly between the different sites (anterior, posterior, lateral), suggesting possible effects of heterogeneous stress distribution on the vertebrae in vivo. Isocaloric low protein intake associated with ovariectomy led to significant decreases of indentation modulus, hardness, and dissipated energy on the posterior vertex. Axial compression tests of adjacent vertebral bodies were correlated with the indentation results. Correlations between macroscopic mechanical data obtained by axial compression of vertebral body, and intrinsic tissue properties measured by nanoindentation test suggest that postelastic behavior strongly varied with material fragility detected on the tissue level. Macroscopic stiffness however may be dominated by bone geometry changes and less by variations of intrinsic bone tissue properties. Combining parameters of tissue properties and bone mineral density was highly predictive of vertebral body ultimate strength. Besides geometry and microarchitecture, intrinsic bone tissue properties are important determinants of the mechanical competence of rat vertebrae. Changes in intrinsic tissue properties could thus contribute to the increased bone fragility found in protein undernutrition.